Literature DB >> 21577153

Acetabular perforation after medial migration of the helical blade through the femoral head after treatment of an unstable trochanteric fracture with proximal femoral nail antirotation (PFNA): a case report.

Iori Takigami1, Kazuichiro Ohnishi, Yoshiki Ito, Akihito Nagano, Hisashi Sumida, Kaori Tanaka, Katsuji Shimizu.   

Abstract

The proximal femoral nail antirotation is a new generation of intramedullary device for the treatment of trochanteric femoral fractures, having a helical blade rather than a screw for suggested better purchase in osteoporotic bone. However, it is not free of complications. Few reports are available on postoperative perforation of the helical blade through the femoral head as a unique complication of proximal femoral nail antirotation. We report a 79-year-old woman with acetabular perforation after migration of the helical blade through the femoral head after an unstable trochanteric fracture, which was fixed with a proximal femoral nail antirotation.

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Year:  2011        PMID： 21577153     DOI： 10.1097/BOT.0b013e3181fae12e

Source DB:  PubMed          Journal:  J Orthop Trauma        ISSN： 0890-5339            Impact factor:   2.512


  8 in total

1.  A comparison of two fixation methods for femoral trochanteric fractures: a new generation intramedullary system vs sliding hip screw.

Authors:  Christian Carulli; Federico Piacentini; Tommaso Paoli; Roberto Civinini; Massimo Innocenti
Journal:  Clin Cases Miner Bone Metab       Date:  2017-05-30

2.  Is helical blade superior to screw design in terms of cut-out rate for elderly trochanteric fractures? A meta-analysis of randomized controlled trials.

Authors:  Xiao Huang; Frankie Leung; Ming Liu; Long Chen; Zhao Xu; Zhou Xiang
Journal:  Eur J Orthop Surg Traumatol       Date:  2014-02-21

3.  Cementless bipolar hemiarthroplasty compared with proximal femoral nail anti-rotation of unstable intertrochanteric fractures in senile patients with osteoporosis: a retrospective study.

Authors:  Chengkui Cai; Liying Tian; Zhihui Chen; Pengcheng Sun; Guozhu Wang
Journal:  BMC Musculoskelet Disord       Date:  2022-05-16       Impact factor: 2.562

4.  Proximal Femoral Nail Antirotation Versus Reverse Less Invasive Stabilization System-distal Femur for Treating Proximal Femoral Fractures: A Meta-analysis.

Authors:  Xuan Jiang; Ying Wang; XinLong Ma; JianXiong Ma; Chen Wang; ChengBao Zhang; Zhe Han; Lei Sun; Bin Lu
Journal:  Medicine (Baltimore)       Date:  2016-04       Impact factor: 1.889

5.  Treatment With Helical Blade Cephalomedullary Nail for Two-Part Basicervical Proximal Femoral Fracture in Elderly Patients: A Retrospective Observational Study.

Authors:  Ichiro Okano; Takatoshi Sawada; Nobumasa Kushima; Tetsuya Tachibana; Katsunori Inagaki
Journal:  Geriatr Orthop Surg Rehabil       Date:  2017-11-28

6.  Influence of different great trochanteric entry points on the outcome of intertrochanteric fractures: a retrospective cohort study.

Authors:  Shuo Pan; Xiao-Hui Liu; Tao Feng; Hui-Jun Kang; Zhi-Guang Tian; Chun-Guang Lou
Journal:  BMC Musculoskelet Disord       Date:  2017-03-14       Impact factor: 2.362

7.  Medial migration in cephalomedullary nail fixation of pertrochanteric hip fractures: A biomechanical analysis using a novel bidirectional cyclic loading model.

Authors:  G W Law; Y R Wong; A K-S Yew; A C T Choh; J S B Koh; T S Howe
Journal:  Bone Joint Res       Date:  2019-08-02       Impact factor: 5.853

Review 8.  A rare complication of pelvic perforation by an excessive medial slide of the helical blade after treatment of an intertrochanteric fracture with proximal femoral nail anti-rotation: A case report and literature review.

Authors:  Xiao-Kun Chen; Jian Xiong; Yi-Jun Liu; Quan Han; Tian-Bing Wang; Dian-Ying Zhang
Journal:  Chin J Traumatol       Date:  2021-08-12
  8 in total

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